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HomeMy WebLinkAbout13651-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18469 Date OCTOBER 16, 1989 THIS CERTIFIES that the building Location of Property 265 INLET LANE House No. Street County Tax Map No. 1000 Section 43 Block 4 Subdivision Filed Map No. ADDITION GREENPORT~ N.Y. Hamlet Lot 36 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 11~ 1984 pursuant to which Building Permit No. 13651-Z dated DECEMBER 27, 1984 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is GREENHOUSE ADDITION TO UNHEATED STRUCTURE The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF~_LTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JOHN & ISABELLE BIDDULPH N-082094 - JULY 21~ 1989 N/A //]~-~il~ing Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13651 Z Permission is hereby gronted to: ~:~suant to opplicatlon dated ~,,'~. ........... I,~, ........................ , 19.~....~, and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply end sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3, Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date Ap.r.il 2.4,. 2987 New C o n s t r u c t i o n ...... Old or Pre-existing Building .... x. Vacant Land 265 Inlet Lane Greenport, N,Y. Location of Property ................................................................... House No, Street Ham/et John Biddulph Owner or Owners of Property ............................................................ 43 4 36 County Tax Map No. 1000 Section ............... Block ............... Lot ................ · Subdivision ................................. Filed Map No ........... Lot No .............. I2/27/8 · . ................................. PermitNo..1.3..6.5.].Z... Date of Permit ..... : .... ,~ppbcant Allstate Greenhouse NA Health Dept. Approval ....... .~.A ............... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval .. ~.k. ................. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... .2.5 ...0.0. .................. Construction on above described building ar/~ permit meets all applicable codes and re~lulations. ^pp,,cant 't: ............. .... ................ Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS '[ ~':)~ [ '[ ~';' BUREAU OF ELECTRICITY ~ B5 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~70~[~Y ~ ~ J~ ApplicationNo. onfile ~/~') ~ 0~,~07~ THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed be~w and interlaced by t~ appllca~t ~med on the a~ve applicatio~ number ~n the premises of in the followlng location; ~ Basement ~ Ist Fl. ~ 2nd Ft. Section BIm~k Lot ,~ , A ) · and found to be in compliqnce u, ith the requirements ~f th s Board DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS SERVIC~ DISCONNECT S E R V I C OTHER APPARATUS: NO OF CC, COND A. WG NO OF HI*LEG A W.G, NO O~ NEUTRAl A.W.G. PER ~ OF CC, COND. OF Hf-tEG OF NEUTRAL This certificate must not be altered in any manner; return to the office of the Board if, inc, prrect. Inspecfprs COPY ~OR BUILDING DEPARTMENT. THIS GENERAL MANAGER Per may be identified by their credentials. IN ANY MANNER. VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 25, 1989 RE: BUILDING PERMIT #13651Z Greenhouse Dear Mrs. Biddulph: In regard to your application for a Certificate of Occupancy, we need an Underwriters Certificate. We have your application and check and you have passed the inspection. Please send us your Underwriters so that we can process your Certificate of Occupancy. Thank you. Yours truly, Secretary FIEL~ INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY G?DE ADI COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION ~r~FINAL REMARKS: DATE ]65-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION ZND [ ] ~SULATION / FRAMING [~/] FINAL TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This i~ to advise you that the job under building permit no. 13651Z issued to John Biddulph on 12/27J84 for Addition is completed and a final inspection has ( ) has not ( X ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued, Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank.you for your prompt attention. Very trul Victor Lessard Executive Administrator VL:gar encl. - ' 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~,.OUTHOLD, N.Y. 11971 Exami .... ,1 .~..? .... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLP.2~, DEPT. TOWN OF SOUTHOLD Received ........... ~ 1 9, . . INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections· . f . . (Signature of applicant, or name, if a corporati6n) · (Mailing address~of applicant) State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder. rT, .TO'ff' ........................................................................ Name of owner of premises . ~./.D. ~.~.,~. ~../~/. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name an~itle of corporate officer) Builder's License No ..... .~..~.. ~. .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on w~/'?'. ~ ~7-..~. ,~/Ye?.....~..~..~.:~.--.~./->...d, . .,~.... which proposed work .- ~7~. .~,~.~,~. ~;~: · ,~,~,~ ~ House Number Street Hamlet County Tax Map No. 1000 Section ..... · .~..-~. ........Block ....~. ............. Lot .... .~...4 ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing u se and occupancy S / Z>~'/7 (g .~.. b. Intended use and occupancy ........ ~ .,~:./2~ ~-~ .................................................... Pli · . 3. Nature of work (check which ap cable): New Building ..... ' .....Addition ..... Alteration .... Repair RemoVal , Demolition ........ Other Work ........... ~,'""'"'"~ )'~7.0~~'' ' ""' '"'"" ".~..~.~" ' '(Descriptio)" ' 4. Estimated Cost ...... ~ .............................. Fee ......................... ' '~ (to be paid on filing this application) er o" ~lli g u 5. If dwelling, numb f'dw n nits ............... Number of dwelling un s on each floor ......... If'garage number of cars , 6. If' business, commercial or mixed' occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structureO, if any: Front ....... .~..tp. ....Rear ...... .~¢...o. ....Depth ............... Height ............... Number of Stories ...... ./ ................................................. Dimensions of same structure w~th alterations or additions: Front ....... .-~...'¢ ....... Rear ...'.~: ¢. ........... Depth .................... [. Height ...................... Number of Stories ...................... · ' ' ' ' ./.~ '// .¢ / pth D~mens~ons of entire new construction: Front Rear De Height ............... Number of Stories ............................................... Size of lot: Front /,-~-,~.~. I~ ~'~ Depth 10. Date of Purchase ........... i .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed constrnction violite any zoning law, ordinance or regulation: ..... ~. . 0 ....................... 13. Will lot be regraded ......... : .......... z¢. ....... Will excess fill be removed from nremises: Yes No 14. Name of Owner of premises Name of Architect . ......... . ................ Address ................... Phone No .......... ' ...... Name of Contractor · ~('zq-r4.~.~. Address .~.~? ~.~. e{/.~¢ .o/.~. FY'~ Phone No. ¢7.f.-¢.. - .¢~.~¢. o... PLOT DIAGRAM Locate clearly and distinctly all i'bufldings, whether existing or proposed, and, indicate all set~back dimensions from property lines. Give street and block Oumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. (Name of individual signl ag contract) above named· He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul9 authorized to perform or have performed the said work and to make and file this application; that all statements contdined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 1 // ............. · · ......... day o ...,f . // .,, ,I Notary Public,....~.. ~.,....~..~. ?..d~. ..... County I~lOf~RY PUI~A k;, State of ~Jew /ork' being duly sworn, deposes and says that he is the applicant